摘要
目的探讨学龄期注意缺陷多动障碍(ADHD)患儿父母婚姻冲突、严厉管教与自我意识的关系。方法选取103例ADHD患儿(ADHD组)及103名一般情况匹配的正常儿童(对照组)进行儿童自我意识量表(PHCSS)、儿童感知婚姻冲突量表(CIPC)及自制的严厉管教方式问卷调查。结果 ADHD组患儿PHCSS总分及各因子分均低于对照组(P<0.05),CPIC冲突频率、冲突强度、冲突解决、自我归因、冲突内容因子分和父母严厉管教各因子分均高于对照组(P<0.05)。ADHD组CPIC冲突强度、冲突解决、冲突内容与PHCSS总分呈负相关(P<0.05);严厉管教方式中父亲体罚与PHCSS总分呈负相关(P<0.05)。ADHD组CPIC冲突频率、冲突强度、冲突解决因子分与母亲责骂评分呈正相关(P<0.05);CPIC冲突频率因子分与母亲体罚评分呈正相关(P<0.05);CPIC冲突频率、冲突解决、自我归因因子分与父亲体罚评分呈正相关(P<0.05)。多元线性回归分析显示CPIC冲突解决和父亲体罚是ADHD患儿自我意识的重要影响因素(P<0.05)。结论 ADHD患儿自我意识低下受到父母婚姻冲突及严厉管教方式的影响;父母婚姻冲突与父母严厉管教方式关系密切。
Objective To explore the relationship among interparental conflict, parental harsh discipline and self-concept in school-age children with attention deficit hyperactivity disorder （ADHD）. Methods A total of 103 ADHD children （ADHD group） and 103 matched normal children （control group） were selected and assessed with Piers-Harris Children＇s Self-concept Scale （PHCSS） , Children, s Perception of Interparental Conflict Scale （ CPIC） and self-designed questionnaire of parental harsh discipline. Results The total score and all factor scores of PHCSS in ADHD group were significantly lower than those in control group（ P 〈0. 05） . The factor scores of frequency, strength, solution, content and self-blame of CPIC and all factor scores of parental harsh discipline questionnaire in ADHD group were significantly higher than those in control group （P 〈 0. 05 ） . In ADHD group, the total score of PHCSS was negatively correlated with the factor scores of strength, solution, content of CPIC and father＇s corporal punishment in parental harsh discipline questionnaire （ P 〈0. 05 ） . In ADHD group, the factor scores of frequency, strength, solution of CPIC were positively correlated with the factor score of mother, s scold （P 〈0. 05） ; the factor score of frequency of CPIC was positively correlated with the factor score of mother, s corporal punishment （P 〈0. 05） ; the factor scores of frequency, solution and self-blame of CPIC were positively correlated with father, s corporal punishment （P 〈0. 05）. Multiple linear regression analysis showed that the solution factor score of CPIC and father,s corporal punishment were significant influential factors for self-concept in children with ADHD （P 〈0. 0 5）. Conclusion The poor self-concept in children with ADHD is influenced by interparental conflict and parental harsh discipline. Parental harsh discipline is closely related to interparental conflict.
出处
《精神医学杂志》
2017年第4期278-281,共4页
Journal of Psychiatry
基金
上海市普陀区卫生系统自主创新科研资助项目(编号:普KW12311)
上海市普陀区临床重点专科建设项目-精神病学[编号:普卫计(2014)36号]
关键词
注意缺陷与多动障碍
自我意识
父母婚姻冲突
父母严厉管教
Attention deficit hyperactivity disorder Self-concept Interparental conflict Parental harsh discipline
